Understanding Plantar Fasciitis: Seeking Answers for Chronic Foot Pain
Plantar fasciitis Hello, doctor. I have been experiencing numbness, swelling, and pain in the soles of my feet for five years. I have consulted with rheumatology and orthopedics, and an MRI revealed a herniated disc at the L4-L5 level, but it is not compressing any nerves. I have...
Dr. Xu Zhenrong reply Rehabilitation
Dear Mr. KD, From your letter, it is clear that you have been suffering from this condition for many years. The necessary examinations include imaging studies such as X-rays, musculoskeletal ultrasound, and lumbar MRI, as well as electrophysiological tests. You have also consult...[Read More] Understanding Plantar Fasciitis: Seeking Answers for Chronic Foot Pain
Rehabilitation Strategies for Elderly Patients with Osteoporosis
Elderly rehabilitation Hello, doctor. My grandmother is currently 93 years old and has osteoporosis. Last year, she underwent a vertebroplasty, but due to unsatisfactory results, she can only lie in bed now and is unable to get up, although she can still turn herself. However, th...
Dr. Xu Zhenrong reply Rehabilitation
Hello, Li Li's online friend: Based on your description, your grandmother has osteoporosis and has been bedridden for a long time. Regarding osteoporosis, it is generally understood that bone density begins to gradually decline after the age of 35, with a significant loss oc...[Read More] Rehabilitation Strategies for Elderly Patients with Osteoporosis
Can My Friend Continue Rehab and Testing After Moving to Penghu?
Could you please provide the content you would like me to translate? My friend asked me to help him inquire about his situation. He was originally undergoing rehabilitation in Neihu, specifically "electrical stimulation" and "lumbar stretching." In a few days,...
Dr. Xu Zhenrong reply Rehabilitation
Hello Angel: Based on your description, your friend likely has a lumbar disc herniation causing nerve root compression symptoms, which can lead to numbness and pain in the lower back, buttocks, thighs, and the posterior aspect of the calves, sometimes extending to the toes. This ...[Read More] Can My Friend Continue Rehab and Testing After Moving to Penghu?
Understanding Lumbar Disc Herniation and Its Impact on Nerve Pain
Herniated disc compressing the right leg nerve? Hello, doctor. I had a CT scan, and it showed a herniated disc at the fifth lumbar vertebra and the disc below it. I feel sharp pain in my hips and thighs when bending forward, and the same occurs when leaning backward. What treatme...
Dr. Xu Zhenrong reply Rehabilitation
Hello Ah Hong, based on your description, you are experiencing symptoms of nerve root compression due to a herniated disc between the fifth lumbar vertebra and the first sacral vertebra. This can lead to numbness and pain in the lower back, buttocks, thighs, and the posterior asp...[Read More] Understanding Lumbar Disc Herniation and Its Impact on Nerve Pain
Understanding Hand Pain: When to See a Rehabilitation or Orthopedic Specialist
Hand pain Hello, Director Hsu. I have been experiencing this phenomenon for over a month. I have seen a neurologist and undergone electromyography. The doctor mentioned that there is no significant nerve compression, so I was prescribed anti-inflammatory medication and steroids. ...
Dr. Xu Zhenrong reply Rehabilitation
Dear Mr. Huang, According to your letter, you are experiencing pain in the fourth and fifth fingers of your left hand, which prevents you from fully gripping or extending them. The possible considerations include: 1. Neurological issues, 2. Muscular issues (tendons or ligaments)...[Read More] Understanding Hand Pain: When to See a Rehabilitation or Orthopedic Specialist
Essential Guidelines for Safe Lumbar Traction in Rehabilitation
Lumbar traction I have a herniated disc and am currently undergoing rehabilitation. I would like to ask some related questions: 1. What precautions should be taken during lumbar traction? If not performed correctly, could it cause nerve damage or other side effects? Under what ...
Dr. Xu Zhenrong reply Rehabilitation
Hello Mr. A-Tong, Normal use of lumbar traction does not cause nerve damage. Generally, the traction machines used in rehabilitation medicine have two units of measurement: pounds and kilograms. The traction weight typically starts at one-quarter of the body weight and graduall...[Read More] Essential Guidelines for Safe Lumbar Traction in Rehabilitation
Understanding Herniated Discs: Rehabilitation Insights and Pain Management
I have a herniated disc! Since April 2005, I initially experienced lower back pain and discomfort. After three months, I sought medical attention, but no specific examinations were performed; I only underwent rehabilitation (shortwave therapy and electrical stimulation, without l...
Dr. Xu Zhenrong reply Rehabilitation
Hello: When a herniated disc occurs, it can compress the spinal nerves, leading to symptoms of nerve compression. If this occurs in the lumbar spine, it can result in lower back pain, as well as pain in the buttocks and lower limbs. Mild lumbar disc herniation can improve with re...[Read More] Understanding Herniated Discs: Rehabilitation Insights and Pain Management
Rehabilitation for Herniated Discs: Strength Training and Pain Prevention
Rehabilitation for herniated discs? Regarding rehabilitation issues related to herniated discs, thank you for your detailed response! Today, I would like to ask again: 1. During the acute phase, is it advisable to perform strength training for the back muscles and lower abdominal...
Dr. Xu Zhenrong reply Rehabilitation
Hello, A-Dong: During the course of a herniated disc, it is still possible to perform strength training to enhance the abdominal and back muscles, but this should be done progressively. If the initial pain is severe, isometric exercises that do not involve movement of the lumbar ...[Read More] Rehabilitation for Herniated Discs: Strength Training and Pain Prevention
Effective Rehabilitation Strategies for Lumbar Disc Herniation
Rehabilitation for Herniated Disc I have a herniated disc at the L4-L5 level, and my doctor said surgery is not necessary, only rehabilitation. I would like to ask: 1. How should rehabilitation be conducted? 2. How long does the rehabilitation period last? Do I need to go to the ...
Dr. Xu Zhenrong reply Rehabilitation
Hello Mr. A-Tong, regarding your condition, you will need to undergo physical therapy that includes heat therapy, traction, and electrical stimulation. The duration of treatment will vary depending on individual circumstances, so I cannot provide you with a specific timeframe. I ...[Read More] Effective Rehabilitation Strategies for Lumbar Disc Herniation
Correcting Hunchback: Effective Solutions for Posture Improvement
About Kyphosis Dear Doctor, I have a question regarding my boyfriend's hunchback. He is 25 years old, and I believe he has had this habit since childhood. Whenever he walks, he tends to have a hunched posture, and even when he tries to stand up straight, his neck still appe...
Dr. Xu Zhenrong reply Rehabilitation
Dear Miss Hsiao-Yu, Generally speaking, the causes of kyphosis can be divided into functional kyphosis and structural kyphosis. Functional kyphosis, also known as postural kyphosis, is mostly caused by long-term poor posture. This type of kyphosis is relatively easier to correct...[Read More] Correcting Hunchback: Effective Solutions for Posture Improvement
Understanding and Managing Pain Between the Toes: Causes and Solutions
Dorsal foot cramping? Dear Dr. Hsu, I have been experiencing intermittent pain between the second and third toes of my right foot for the past couple of months. Initially, the pain occurred about once a week, but in the past week, it has escalated to several times a day, sometim...
Dr. Xu Zhenrong reply Physical Fitness
Dear Ms. Chris, Based on your description, the cause of your foot pain may be due to inflammation at the pressure points on the soles of your feet while walking. Generally, inflammation in the plantar region tends to be more pronounced when weight is applied, and the pain may le...[Read More] Understanding and Managing Pain Between the Toes: Causes and Solutions
Finding Speech Therapy Clinics in Taipei: Hours and Doctors
Speech Therapy Outpatient Clinic Hello, doctor. I would like to inquire if there are specialized speech therapy clinics in Taipei City. Could you please provide me with the detailed clinic hours and the names of the physicians? Thank you.
Dr. Xu Zhenrong reply Rehabilitation
Hello, Kay. In Taipei City, there are several specialized outpatient clinics for speech therapy, including the following hospitals: National Taiwan University Hospital with Dr. Lu Lu and Dr. Hsieh Cheng-yi in the Rehabilitation Department, Taipei Veterans General Hospital with Dr...[Read More] Finding Speech Therapy Clinics in Taipei: Hours and Doctors
Understanding Leg Numbness: Causes and Remedies for Long Sitting
Numbness and tingling in the left foot? Hello Doctor: For the past few weeks, I have been experiencing numbness in my right calf extending to my toes, as well as soreness behind my knee radiating up to my thigh. These symptoms occur almost daily. I have been sitting for 12 hours ...
Dr. Xu Zhenrong reply Rehabilitation
Hello, Xiao Ke: Based on the symptoms you described, it is suspected that you have a lumbar disc herniation, which is compressing the nerves in the lower back, leading to pain, numbness, or radiating pain in the lower limbs. The most common affected areas are between the fourth a...[Read More] Understanding Leg Numbness: Causes and Remedies for Long Sitting
Managing Chronic Pain After Spine Surgery: Seeking Solutions and Support
Pain near the vertebrae? I underwent surgery for a herniated disc in 1988 at Taipei Medical University Hospital. Since then, I have continued to experience pain and have been undergoing rehabilitation. My doctor has been monitoring my condition, but over the past two weeks, the p...
Dr. Xu Zhenrong reply Rehabilitation
Hello Mr. Zhang, There are many potential causes for lumbar pain, including the recurrence of intervertebral disc herniation. We cannot determine the exact cause of your pain based on your description. The general approach in physical therapy includes heat therapy, traction, an...[Read More] Managing Chronic Pain After Spine Surgery: Seeking Solutions and Support
Understanding Knee Pain After Sitting: Causes and Solutions for Relief
Knee I often experience soreness in my knees after sitting for a long time. I live in Taichung, but when I was studying in Pingtung, every time I took a bus, my knees would feel very uncomfortable, and I couldn't even take a short nap on the bus. When I arrived at my destina...
Dr. Xu Zhenrong reply Rehabilitation
Hello Ms. Qi: There are many causes of knee joint pain. Based on your symptoms, the potential causes of your knee pain may include plica syndrome, knee osteoarthritis, cartilage injury, overuse of muscle groups, or infection. However, further examination and diagnosis are necessa...[Read More] Understanding Knee Pain After Sitting: Causes and Solutions for Relief
Understanding Shoulder Pain: Causes and Rehabilitation Insights
Shoulder issues Hello Doctor: I have been experiencing pain in my left shoulder for the past few years. Whenever I carry a backpack for more than 20 minutes, my shoulder starts to hurt, and it feels like it might dislocate. In high school, I often carried heavy items to school, a...
Dr. Xu Zhenrong reply Rehabilitation
Hello, Ms. Shui: The shoulder joint consists of four joints, with the glenohumeral joint having the greatest range of motion. Its dynamic stability is provided by muscles, ligaments, and the glenoid cavity. Due to your long-term habit of carrying a heavy bag on your left shoulde...[Read More] Understanding Shoulder Pain: Causes and Rehabilitation Insights
Correcting O-Shaped Legs and Height Growth: A Guide for Young Women
Regarding spinal issues, O-shaped legs, and height growth? Hello Doctor, I am a 23-year-old female, standing at 158 cm tall. I have had bow legs since childhood; I first noticed my legs were curved in the fifth or sixth grade when I saw that my friends could bring their knees t...
Dr. Xu Zhenrong reply Physical Fitness
Hello, Miss Kitten: Generally, the clinical manifestations of bowlegs (genu varum) include 1. internal rotation of the hip joint with separation of the knee joint, 2. the inner side of the lower leg turning outward, making it impossible to bring the legs together, and 3. internal...[Read More] Correcting O-Shaped Legs and Height Growth: A Guide for Young Women
Understanding Pain in the Heel: Causes and Treatment Options
Pain in the soles of the feet? Last night, I suddenly noticed that the back half of the sole of my right foot hurts when I stand. What could be the cause of this?
Dr. Xu Zhenrong reply Rehabilitation
Hello, Your symptoms appear to be consistent with plantar fasciitis, which is inflammation of the plantar fascia caused by repetitive strain. The main symptoms include: 1. Intermittent pain on the inner side of the heel, especially during weight-bearing activities; 2. Symptoms ...[Read More] Understanding Pain in the Heel: Causes and Treatment Options
Memory Loss and Joint Calcification: Rehabilitation Challenges After Trauma
Amnesia vs. Tendon Calcification? Last year, my mother was burned in a fire and misdiagnosed by a well-known hospital in Kaohsiung, which led to her being in a coma and on the brink of death. She was then transferred to another hospital for observation. She remained in the intens...
Dr. Xu Zhenrong reply Rehabilitation
Dear Hikaru, In general, the duration and depth of coma are related to subsequent recovery, making the level and duration of coma critical indicators for assessing the severity of brain injury. Typically, patients with severe and prolonged coma have poorer prognoses. Regarding...[Read More] Memory Loss and Joint Calcification: Rehabilitation Challenges After Trauma
Understanding Muscle Hardening and Indentation After Thigh Injury
After a thigh injury from a car accident, a large area of muscle appears sunken and has formed a hard lump? Dear Dr. Chen, I would like to ask about my mother: she was in a car accident last year where her thigh was crushed by a motorcycle, resulting in swelling and bruising. Ho...
Dr. Xu Zhenrong reply Rehabilitation
Hello Xiaomi, Regarding the issue you raised, the general approach to managing an injury is as follows: 1. Rest is the best treatment. Immediately stop any movement of the injured area to avoid further irritation and damage. 2. Do not massage the injured area, especially around...[Read More] Understanding Muscle Hardening and Indentation After Thigh Injury